tci General Surgery Coding Alert - 1999 Issue 1

Document Time to Maximize Reimbursement for Counseling

Many general surgeons spend a lot of time counseling patients and/or their families. For example, the treatment of a cancer patient may include a biopsy or a colonoscopy, which usually involves a lot of discussion about test results and continuing treatment options. Such discussions often take up the majority of the time spent during a visit where a very minimal examination was performed. Although many surgeons often do not bill for such counseling, there are codes available to document time spent on such matters, which in turn can lead to substantial reimbursements.The final paragraph on page 8 of...

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